Douglas Chang, M.D.
Individual provider Active NPI Neurology Physician · Foothill Ranch, CA
NPI 1295766889 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295766889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- G63764 (CA)
- Practice address
- 26730 Towne Centre Dr
Suite 202
Foothill Ranch, CA 92610-2842 - Phone
- (949) 600-7887
- Fax
- (949) 600-7889
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- University of California, Geffen School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
26730 Towne Centre Dr
Suite 202
Foothill Ranch, CA 92610-2842
Phone (949) 600-7887
Hospital & facility affiliations
- Garden Grove Hospital & Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060914000587 | CA | Practitioner - Neurology | 7911901491 | Practice locations: Foothill Ranch, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G63764 | CA | MD | Neurology Physician |
| 36764 | CA | MD | Registered Respiratory Therapist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G63764 | CA | Yes |
Addresses
Primary practice location
26730 Towne Centre Dr
Suite 202
Foothill Ranch, CA 92610-2842
Mailing address
26730 Towne Centre Dr
Suite 202
Foothill Ranch, CA 92610-2842
Phone (949) 600-7887
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G637640 | Medicaid | CA |
Other providers in Foothill Ranch, CA
- Suzanne Marie Buchanan-Perry
- Alison Burney
- Melissa Marie Calliham
- Anna Moshelle Carlson
- Phillip Nelson Cecchini
- Chia Ying Chao
- James Ross Cueto Chuatoco
- Clarity Anesthesia Medical Group
- Amy Cole
- Michael Richard Cowdrey
All providers in Foothill Ranch, CA · Neurology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.